| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,059 |
944 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
84 |
81 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
588 |
584 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
31 |
30 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
42 |
42 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
27 |
$1K |
| 71250 |
|
15 |
15 |
$596.16 |
| 73630 |
|
65 |
65 |
$519.68 |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$429.00 |
| 73030 |
|
43 |
42 |
$375.77 |
| 73610 |
|
24 |
24 |
$142.89 |
| 73110 |
|
16 |
16 |
$140.63 |
| 73564 |
|
12 |
12 |
$136.64 |